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Entry submission is binding, all payments must be in by March 16th 5pm in order for entry to be counted

First Name   Family Name

Address   City

State   Zip   Phone 

Email 

Lotto:    Payment: 

If you wish to pay your entry by Credit Card online please complete the above form and click on the submit button on the bottom, then find the Credit Card Donations tab which appears on the left margin of the next screen upon submitting this form and indicate Purim Lotto as reason for payments

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Please Note: All entries must be placed and paid in full by Sunday, March 16th at 6pm to participate. You may purchase as many tickets as you want. Grand prize will be 200 assorted MD State Lottery scratch-off game tickets. There is no guarantee as to the outcome and the MD State Lottery in in no way responsible for this drawing. Drawing will be held at Chabad's Chinese Purim Event on Sunday, March 16th at 6:30pm. If winners are not present, they will contacted by phone and/or email. 

 

Many thanks and gratitude to you for your participation.